Innovative Health Programs To Reduce Inequality In Heart Disease
Funder
National Health and Medical Research Council
Funding Amount
$876,005.00
Summary
As part of his Senior NHMRC Fellowship, Prof Simon Stewart, a world-renowned health services researcher, will lead an internationally linked team of researchers from a broad range of health disciplines to undertake a program of research designed to improve the lives of those most vulnerable to heart disease and poor health outcomes. His program of research will focus on Indigenous Australians, patients with complex forms of heart disease and urban African communities in economic transition.
Evaluating The Genetic Contribution To Rheumatic Heart Disease Pathogenesis In Australian Aboriginal And Torres Strait Islander Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,782,074.00
Summary
Rheumatic heart disease is highly prevalent in Aboriginal people in Australia and leads to early cardiac disease. Despite decades of research, the underlying genetic mechanisms for why it occurs are not well understood. We are conducting a genetic study to better understand why some people are susceptible to RHD and others are not. The study will involve substantial Aboriginal leadership and consultation and will be a model for the conduct of genetic studies in Aboriginal populations.
Can Skin Infection With Group A Streptococcus Cause Acute Rheumatic Fever?
Funder
National Health and Medical Research Council
Funding Amount
$459,450.00
Summary
It is traditionally taught that the cause of acute rheumatic fever (ARF) is always infection of the throat with the bacterium group A streptococcus (GAS). However, in Aboriginal communities of the Top End of the Northern Territory the incidence of ARF is the highest reported in the world, yet GAS is uncommonly isolated from the throat. There is further information to suggest that GAS skin sores may underlie many cases of ARF. If this were proven, it would completely alter the traditional view of ....It is traditionally taught that the cause of acute rheumatic fever (ARF) is always infection of the throat with the bacterium group A streptococcus (GAS). However, in Aboriginal communities of the Top End of the Northern Territory the incidence of ARF is the highest reported in the world, yet GAS is uncommonly isolated from the throat. There is further information to suggest that GAS skin sores may underlie many cases of ARF. If this were proven, it would completely alter the traditional view of the cause of ARF, and have important implications for prevention of ARF around the world. Presently, these approaches focus on diagnosing and treating sore throat, but no country has proven that such a program can be successful in substantially reducing new cases of ARF. If it was known that skin infection could lead to ARF, then countries (including Australia) could emphasise the importance of skin health programs. A further benefit of this knowledge would be to influence GAS vaccine development, which presently is largely focused on the prevention of sore throat. A different possibility has recently been raised - that the cause of ARF may not always be GAS, but instead that the related bacteria GCS and GGS may have the potential to cause this disease. Proof of this hypothesis would even more dramatically alter our understanding of disease causation, prevention, and vaccine development. We propose to determine the cause of ARF in Aboriginal communities by regularly swabbing families of people with a history of ARF, and using genetic fingerprinting of the bacteria from the skin and throat swabs. When cases of ARF occur, we will be able to determine the site and type of infection that precipitated the attack. We will conduct a related study in more communities, in which we will swab family members of people with ARF and of control families (without ARF) to determine the bacteria most commonly isolated from ARF families.Read moreRead less
CENTRE OF RESEARCH EXCELLENCE TO REDUCE INEQUALITY IN HEART DISEASE
Funder
National Health and Medical Research Council
Funding Amount
$2,607,253.00
Summary
There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health ....There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health care services.Read moreRead less
A National Population-based Study Of Rheumatic Heart Disease In Pregnancy
Funder
National Health and Medical Research Council
Funding Amount
$877,826.00
Summary
Whilst overall a rare disease, Indigenous peoples have disproportionately high rates of rheumatic heart disease (RHD). This study explores the prevalence and distribution of RHD in pregnancy in Australia and New Zealand. It details current management, diagnostic and referral process and risk factors. Key attributes of culturally safe models of care for RHD in pregnancy are explored, particularly as they relate to Indigenous women. Findings will inform policy, guidelines and education resources.
The ecological impact of large carnivore restoration. This project aims to assess the ecological changes that have arisen due to the repatriation of estuarine crocodiles to Australian ecosystems. It is significant because the restoration provides a rare opportunity to empirically test changes in ecosystem processes under varying degrees of large carnivore predation pressure. Expected outcomes include improved understanding of the processes that govern the strength of predator-ecosystem interacti ....The ecological impact of large carnivore restoration. This project aims to assess the ecological changes that have arisen due to the repatriation of estuarine crocodiles to Australian ecosystems. It is significant because the restoration provides a rare opportunity to empirically test changes in ecosystem processes under varying degrees of large carnivore predation pressure. Expected outcomes include improved understanding of the processes that govern the strength of predator-ecosystem interactions and an ability to quantify the biomass, social structure, and behaviours of predators required to influence these processes. Benefits should include improvements in how the ecological role of large carnivores is measured, and when and where carnivore populations should be culled or conserved.Read moreRead less
The ecology of trace metal contamination in native Australian mammals. The ecology of trace metal contamination in native Australian mammals . This project aims to evaluate the impacts of mined trace metals on the health and performance of native Australian mammals in a northern tropical ecosystem and to determine how each species’ ecology contributes to their risk of contamination. The research also aims to give local Indigenous Rangers scientifically based strategies to improve wildlife conser ....The ecology of trace metal contamination in native Australian mammals. The ecology of trace metal contamination in native Australian mammals . This project aims to evaluate the impacts of mined trace metals on the health and performance of native Australian mammals in a northern tropical ecosystem and to determine how each species’ ecology contributes to their risk of contamination. The research also aims to give local Indigenous Rangers scientifically based strategies to improve wildlife conservation on their island. Australia’s long-term health relies on its ability to minimise the environmental costs of mining, particularly in areas characterised by high biodiversity, unique native species, or species of cultural or touristic value. Anticipated outcomes are better, more targeted strategies for conservation in mining areas.Read moreRead less
Investigating movement, distribution, abundance and diet to support management objectives for threatened riverine predators in Northern Australia. The rivers and estuaries of northern Australia are highly productive environments, containing an exceptional diversity and abundance of large predatory aquatic species. This project aims to monitor the movements, habitat preferences and diet in eight large predatory species in a northern Queensland river over the next three years. Movement data will b ....Investigating movement, distribution, abundance and diet to support management objectives for threatened riverine predators in Northern Australia. The rivers and estuaries of northern Australia are highly productive environments, containing an exceptional diversity and abundance of large predatory aquatic species. This project aims to monitor the movements, habitat preferences and diet in eight large predatory species in a northern Queensland river over the next three years. Movement data will be combined with isotopic analysis to reveal how environmental and biological factors drive animal movements and impact habitat connectivity. In a world of vanishing top predators, it is imperative to understand system dynamics before we can evaluate the impact of species removal on ecosystem function.Read moreRead less
Vulnerability of Australian savannas to climate change and variability. Australian savannas are productive and are culturally and biologically significant landscapes, but they are vulnerable to climate change. This project will determine savanna function (carbon and water balance) for the present and assess how sensitive they have been to past climate variability. The project will then address how they may respond to future climate change.
Discovery Early Career Researcher Award - Grant ID: DE220100852
Funder
Australian Research Council
Funding Amount
$455,766.00
Summary
Breathing streams: integrating aquatic emissions into carbon budgets. This project aims to determine the amount of greenhouse gases emitted by small streams across the Australian tropics, a potential hotspot for emissions of carbon dioxide and methane. The project expects to investigate the controls on gaseous emissions from stream to regional scales using a novel combination of gas tracer experiments, remote sensing techniques and machine learning algorithms. Expected outcomes include the devel ....Breathing streams: integrating aquatic emissions into carbon budgets. This project aims to determine the amount of greenhouse gases emitted by small streams across the Australian tropics, a potential hotspot for emissions of carbon dioxide and methane. The project expects to investigate the controls on gaseous emissions from stream to regional scales using a novel combination of gas tracer experiments, remote sensing techniques and machine learning algorithms. Expected outcomes include the development of a predictive model of gas exchange and the first estimate of gaseous emissions from the Australian tropics. This should provide significant benefits such as reducing uncertainties on the national carbon budget and avoiding misalignment of greenhouse gas abatement policies.Read moreRead less